A4 SPECIALTY MEDICAL GROUP LLC NPI 1659010361

NPI Information

NPI: 1659010361
Provider Name: A4 SPECIALTY MEDICAL GROUP LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
510 W TUDOR RD STE 1
ANCHORAGE, AK
ZIP 99503
Phone: (907) 223-7347
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A4 SPECIALTY MEDICAL GROUP LLC is a multi-specialty clinic center in Anchorage, AK. A4 SPECIALTY MEDICAL GROUP LLC NPI is 1659010361. The provider is registered as an organization entity type.

The provider's business location address is:

510 W TUDOR RD STE 1
ANCHORAGE, AK
ZIP 99503-649
Phone: (907) 223-7347

The provider's authorized official is Lisa Bruce .
The authorized official title is Chief Operating Officer and has the following contact phone number (907) 223-7347.

The enumeration date for this NPI number is 6/1/2022 and was last updated on 6/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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